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Town of Aurora Town Board
300 Gleed Avenue, East Aurora, New York 14052
Special Use Permit Application Form
I. PROJECT INFORMATION (Applicant/Petitioner):
Business/Project Name: Ffle. cs ALES AVS LR
Business/Project Address: AYR E//reott (2& West Exlls NY Y/20
Applicant Name: Ver /fo © (ating
Mailing Address: PCD) (RO XK %
Ciy dues
& Evils State_/V‘7 zap/Y¥/79
Phéne 7/6 -863~3G3'2. Fax Email): AA o ptt! ns COTY Pawo ac Cam
Interest in the property (ex: owner/purchaser/developer)
ll. PROPERTY OWNER INFORMATION (if different than Applicant AND the Owner does not sign below, please
submit and original, notarized “Owner Authorization” form - attached):
f Ny ~
Property Owner(s) Name(s)_ fev | Heprds
If a corporate, please name a responsible party/designated officer:
Address POC) Bax
Ciy west EWS State _[V7 zpPfd/7 ©
Phone 2/6 -36.7-fG3 2 Fax Email VV Hoe Bias Q’Tuin cole com.
lll. SPECIAL USE AND PROPERTY INFORMATION:
Property Address GOO! Fllvcot’RB &uUses* Falls we /G(70
SBL#
Describe Special Use requested (use additional pages if needed): Borde v- Lewd wee Lewd
Cyan eiag F/T T/A!
Property size in acres ACO Property Frontage in feet {B7@
Zoning District a 4 Surrounding Zoning _“4
Current Use of Property Kec yew Wem WA Persor pl
Size of existing building(s): U3,
4a, Kz sf Size of proposed building(s) Q- sf
Present/Prior tenantluse: loee Ween eX
Parking spaces: Existing: 29@_ Proposed additional spaces: Total #: